Lee M J, Papanicolaou N, Nocks B N, Valdez J A, Yoder I C
Department of Radiology, Massachusetts General Hospital, Boston.
Radiology. 1993 Sep;188(3):787-9. doi: 10.1148/radiology.188.3.8351348.
Percutaneous large-bore suprapubic cystostomy catheters were placed under fluoroscopic guidance in 60 patients as an alternative to surgical cystostomy. Foley catheters (16-20 F) were placed in 57 of the patients in a one-stage procedure. Ten-French catheters were initially placed in three patients because of difficulty in dilating percutaneous tracks because of obesity (one patient) or dense scar tissue (two patients). Three weeks later, 18-F Foley catheters were placed in these three patients when mature tracks had developed, making dilation easier. Minor complications occurred in three patients, including superficial track bleeding in two and urosepsis in one. Fifteen patients were lost to follow-up. Suprapubic catheters provided excellent long-term drainage (range, 0.5-36 months; mean, 16 months; median, 18 months) in the remaining 45 patients. The authors conclude that percutaneous suprapubic catheter placement is a safe and effective procedure that provides excellent long-term bladder drainage.
在60例患者中，在透视引导下放置经皮大口径耻骨上膀胱造瘘管，作为手术膀胱造瘘的替代方法。57例患者采用一期手术放置Foley导尿管（16-20F）。由于肥胖（1例患者）或致密瘢痕组织（2例患者）导致经皮通道扩张困难，最初3例患者放置了10F导尿管。三周后，当成熟通道形成、扩张更容易时，这3例患者放置了18F Foley导尿管。3例患者出现轻微并发症，包括2例浅表通道出血和1例尿脓毒症。15例患者失访。耻骨上导尿管在其余45例患者中提供了良好的长期引流（范围为0.5-36个月；平均16个月；中位数18个月）。作者得出结论，经皮耻骨上导管置入是一种安全有效的方法，可提供良好的长期膀胱引流。
